Effects of therapeutic vaccine against MSLN on pancreatic cancer growth and pathogenesis in the orthotopic mouse model. A. Effects of VLP-hMSLN vaccination on orthotopic tumor growth in mice. 5 × 105 Panc02 cells were implanted into the body of pancreases of C57BL/6J wild-type mice. On day 3, 50 μg VLP-hMSLN, VLP-Gag, or PBS was injected intraperitoneally (10 mice in each group); this was followed on day 7 and day 14 with two 100 μg VLP-hMSLN, VLP-Gag, or PBS boosts. Tumor growth was analyzed 4 weeks after implantation. Photo images show a representative tumor size in each group at the same distance. The bar graph shows the quantitation of tumor mass in each group. **p<0.01. B. Effects of VLP-hMSLN vaccination on the survival of mice. The same groups of animals as in Fig. 5A were studied. Death was recorded up to 9 weeks after tumor inoculation. Survival of VLP-hMSLN-vaccinated mice was substantially greater than that of VLP-Gag- or PBS-treated mice (p=0.006). C. Effects of VLP-hMSLN vaccination on serum anti-MSLN antibody production. The same groups of animals as in Fig. 5A were studied. Two weeks after the final VLP boost, serum samples were individually collected, and titers of IgG against MSLN were determined by ELISA. Serum anti-MSLN antibodies in the VLP-MSLN-vaccinated mice were substantially increased compared with those in VLPGag- or PBS-treated mice. **p < 0.01 compared with the VLP-Gag group. D. Effects of VLP-hMSLN vaccination on MSLN-specific IFN-γ-producing cells by ELISPOT assay. The same groups of animals as in Fig. 5A were studied. Two weeks after the final VLP boost, mouse spleen cells were collected and stimulated with recombinant vaccinia virus expressing MSLN in vitro. Spleen IFN-γ-producing T cells in the VLP-MSLN-vaccinated mice were substantially increased compared with those in VLP-Gag- or PBS-treated mice. **p < 0.01 compared with the VLP-Gag group. E. Increased MSLN-specific CTL activity elicited by VLP-hMSLN immunization. Three groups of naïve mice and three groups of Panc02 implanted mice were immunized with PBS, VLP-Gag, or VLP-hMSLN at days 3, 7, and 14. At 28 days post immunization, splenocytes isolated from PBS, VLP-Gag, or VLP-hMSLN immunized groups were stimulated with an MSLN-specific peptide at 2 μM for five days to generate effector cells. EL-4 cells pulsed with MSLN-specific peptide (2 μM) for 1 h were used as target cells. Different effector-to-target cell ratios (81:1, 27:1, 9:1, 3:1, and 1:1) were mixed for 4 h. The specific lysis of target cells was measured by LDH release and calculated using formula in the Cytotox 96 assay kit (Promega, Madison, WI). Data are presented as mean ±standard deviation. The data represent one of five independent experiments with different mice. **p<0.01 .